Individual
JERALYN C CREMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1832 CENTRE ST, WEST ROXBURY, MA 02132-1901
(617) 469-4000
Mailing address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(857) 307-0896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76099
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3108228
—
MA
Enumeration date
09/20/2005
Last updated
07/06/2012
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